1St Providence Home Health Care Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

20005681 Issued in CA

Legal business name

1ST PROVIDENCE HOME HEALTH CARE INCORPORATED

Practice address

1900 E Tahquitz Canyon Way
Suite B-4
Palm Springs, CA 92262-7061

Phone

(760) 323-5510

Fax

(760) 323-2097

NPI assigned

Feb 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samuel Keith Barnacastle

Title

Owner

Phone

(760) 323-5510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Plus Home Health Care Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gisela Maria Ridder, OTRL

  • Occupational Therapist
  • Palm Springs, CA
  • NPI 1760613608
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1194903559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE B-4",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627061",
            "telephone_number": "760-323-5510",
            "fax_number": "760-323-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE B-4",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627061",
            "telephone_number": "760-323-5510",
            "fax_number": "760-323-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PROVIDENCE HOME HEALTH CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BARNACASTLE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-323-5510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "20005681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08331F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1 St Providence Home Health Care Inc
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• A Hope 4 Change Family Services
• A One Medical Transportation
• A.Lawsonmd PA, Inc
• Natasha Christine Abbott

• All providers in Palm Springs, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.